双主动脉弓的外科治疗进展

Advance in surgical treatment of double aortic arch

双主动脉弓是一种先天性心脏畸形，它与血管环的形成有关，发病率约占先天性心脏病的0．5％，会导致不同程度的气道食管受压，出现相应的临床表现，如呼吸喘鸣、吞咽困难、严重的呼吸窘迫或慢性呼吸道症状等。多层螺旋cT、超声心动图、心血管造影等都是诊断双主动脉弓的方法。双主动脉弓主要分为3种类型。手术治疗可取得良好效果。近年随着胸腔镜技术的提高，胸腔镜手术成为双主动脉弓治疗的有效手段。本文主要就双主动脉弓外科治疗进展进行综述。

Double aortic arch is a congenital heart defects, which is related to vascular rings. It accounts lor a- bout 0.5% of the incidence of congenital heart disease and will result in varying degrees of airway compression of the esopha- gus, such as wheezing breathing, swallowing difficulties, severe respiratory distress or chronic respiratory symptoms. Spiral CT, echocardiography and cardiovascular imaging can diagnose double aortic arch . Double aortic arch is divided into three types, the treatment of which is different and surgery is effective. In recent years, with the improvement of thoracoscopic tech- nique, thoracoscopic surgery has become an effective means of treatment to double aortic arch. This review focuses on the surgi- cal treatment of double aortic arch progress.